Arizona Licensed Medical Director

Job Summary

A company is looking for a Medical Claims Review Medical Director - Physiatrist - Remote.

Key Responsibilities

• Conduct coverage reviews based on individual member plan benefits and render coverage determinations
• Document clinical review findings and actions in accordance with policies and regulatory requirements
• Engage in peer-to-peer discussions with requesting providers as needed

Required Qualifications

• M.D. or D.O
• Active unrestricted license to practice medicine
• Board certification in Physical Medicine and Rehabilitation
• 5+ years of clinical practice experience after completing residency training
• Proven sound understanding of Evidence Based Medicine (EBM)